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List one “respiratory” fluoroquinolone

Based on a convincing clinical picture, a patient is diagnosed with tuberculosis despite negative results on all diagnostic tests. It is decided to treat the patient with RIPE. After 2 months of therapy a culture is obtained and is negative. The patient is found to have had no meaningful improvement in his symptoms. What would you do at this time?

What is the A1c goal for a patient with a limited life expectancy or hypoglycemia unawareness? 

List the diagnostic criteria for “Clinically Significant Hypoglycemia” and how you would treat it.

List a first drug of choice for a newly diagnosed Type 2 diabetic with the following co-morbidities:  ASCVD: Heart failure: Chronic kidney disease:

JP comes for his DM follow-up and has provided his log book of values.  His current regimen is:         20 units insulin detemir (Levemir) each evening       8 units insulin lispro (Humalog) pre-breakfast and pre-lunch 10 units insulin lispro (Humalog) pre-dinner       Prebreakfast Prelunch Predinner Bedtime 240 112 99 200 100 118 120 250 130 122 116 300 200 140 118 189 95 99 84 192 114 97 93 205 AVERAGES 146.5 96 105 223   Which insulin would you adjust and why?

List the dose-limiting side effect of pramlintide (Symlin).

List three ways that a patient can be diagnosed with diabetes mellitus.

La persona que sirve la comida en un restaurante es el/la:

EG comes for his DM follow-up and has provided his log book of values.  His current regimen is: 20 units insulin glargine (Lantus) each evening 5 units insulin lispro (Humalog) pre-meals   Prebreakfast Prelunch Predinner Bedtime 88 118 172 240 125 94 225 280 96 156 190 230 110 76 200 200 135 180 230 350 88 140 199 214 AVERAGES 107 127 202 252   Which insulin would you adjust and why?